Description

Research in a topic in medical history suggested by the student and approved by the instructor. Student must make an appointment and meet with Dr. Worthington prior to registering for this course. A complete outline of the work proposed by the student must be submitted and approved by Dr. Worthington prior to being registered for this course. Please contact Dr. Worthington at 792-2290 to schedule an appointment.

Course Objectives

To enhance the student's knowledge of a specific area in medical history and, thereby raising their awareness of the importance of the history of their profession.

Instructional Methodology

Tutorial and library research. A written report is required.

Description:

At the end of this course, the student will be able to:

• Understand the principles and practice of clinical investigation
• Write a clinical investigation protocol.
• Understand some of the controversies in medicine

Instructional Methodology (approximately 40 hours per week):

• Lectures
• Rounds/Discussions
• Patient Contact
• Presentations
• Patient Load - (indeterminate)
• Call - (How many nights/week): None

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Course # MED-833

Title: Coronary Care Unit / Cardiology

Course Director:Sal Chiaramida, M.D.

Location: Medical University of South Carolina

Charleston, SC

Number of students: 1

Duration: 4 weeks

Credit hours: 5

Course offered: Fall/Spring

Description:

This rotation provides an opportunity to enhance clinical and procedural skills in a cardiac intensive care environment. The student will elicit history and physical examinations, correlate findings with laboratory and diagnostic data, and assist the resident with daily care and management of critically ill patients. Daily notes and rounds with the attending, fellow, and resident physicians is expected. EKG interpretation will be mastered.

Course Objectives:

• Become familiar with admission criteria for the Coronary Care Unit.
• Develop skills in the management of acute cardiac illnesses, including myocardial infarction, arrhythmia's, and congestive heart failure.
• Better understand hemodynamic monitoring and management of critically ill patients, including the use of pacemakers, AICDs, IABPs, and VADs.
• Perform under direct supervision, procedures, including placement of arterial lines, central venous catheters, and Swan Ganz catheters.

Instructional Methodology (approximately 40 hours per week):

• Lectures - 5
• Rounds/Discussions - 25
• Patient Contact - 30
• Lab - 5

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Course # MED-835

Title: Hospice & Palliative Medicine

Course Director: Dee Ford, M.D.

Location: Medical University of South Carolina  

Charleston, SC

Number of students: 1  

Duration: 2 or 4 weeks 

Credit hours: 2.5 or 5

Course offered: Fall/Spring

Description:

The Hospice and Palliative Medicine Elective is based on the Voluntary Program Standards for Residency Education in Palliative Medicine 2005. (http://www.abhpm.org/Downloads/fellowshipstandards_af.pdf)

Course Objectives:

• Core elements of palliative care
• Important aspects of multi-disciplinary collaboration
• How to estimate prognosis and establish goals of care at the end-of-life
• Basic pain and symptom management of patients
• Hospice eligibility criteria and hospice services
• Professional development resources available to physicians for end-of-life care

Elective key component objectives :
1)  Care of patient approaching the end of life
	a.	Breaking bad news
	b.	Estimating prognosis in acute and chronic disease states
	c.	Establishing goals of care
	d.	Conducting a family meeting
	e.	Pain and symptom management
	f.	Spirituality at the end-of-life
	g.	Depression
	h.	Bereavement
2)    Experiential learning
	a.	Inpatient setting - Consultation Services
	b.	Community setting - Hospice of Charleston
	c.	Ambulatory setting - Resident selected clinics
3)	Resources for palliative and end-of-life care
	a.	Elective reference notebook
	b.	UNIPAC series
	c.	Fast-Facts
	d.	EPEC/ELNEC
Structure:
1)	Inpatient experience (50% of time):
	a.	Palliative Care Consultation Service
	b.	Pain and Symptom Management Consultation Service
	c.	Palliative Care Interdisciplinary Team Meeting
	d.	Additional end of life training: pastoral Care consultation Service, Ethics Consultation Service, and MICU Family Meetings
2)	Community and ambulatory experience (40% of time):
	a.	Hospice of Charleston - home visits, interdisciplinary team meetings, bereavement support, and Hospice House
	b.	Resident selected faculty specialty clinics (1/2 day per week)
3)	Structured learning and discussion (10% of time)
	a.	Read select references in pain and palliative care and discuss with faculty (1/2 day per week)
	b.	Read brief, non-medical reference and discuss
	c.	Present once at monthly Palliative Journal Club
4)	Research opportunities
	a.	Palliative Care in the ICU
	b.	End of Life in Cystic Fibrosis
	c.	Barriers to Hospice Enrollment Among Cancer Patients
	d.	Assessing End of Life in Alpha-1-Antityrpsin Deficiency

Faculty:
Dee Ford, MD (Pulmonary/Critical Care) and Justin Miller, MD (hospitalist/GIMG);
MUSC Palliative Care Service Medical Directors
Angus Baker, MD and R. Scott Lake, MD (Medical Directors of Hospice of Charleston)
Winnie Hennessy, RN, MSN, PhD - Advance practice nurse in palliative care
Karanne Campbell-Bagwell, RN, NP - Pain nurse practioner
Frank Brescia, MD (Hematology/Oncology)
Jerome Kurent, MD (Odyssey Hospice/GIMG)
Jane Senseney, MD, Renee Myers, MD (VA Geriatrics and Palliative Care/GIMG)
Gena Walker, MD (Hospitalist/GIMG/Pediatric Palliative Care)

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Course # MED-845

Title: Clinical Based Internal Medicine with Hospital Experience

Course Director:Thomas F. Bradberry

Location: Newberry Internal Medicine 

Newberry, SC

Number of students: 1  

Duration: 4 weeks 

Credit hours: 5

Course offered: Fall, Spring

Description:

Outpatient clinical medicine active inpatient census as well as ICU and emergency room.

Course Objectives:

• Patient evaluation/diagnosis in clinic
• Inpatient hospital care
• ICU patient care
• ER patient assessment and disposition

Instructional Methodology:

• Patient Load - variable
• Call - every 3rd night

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Course # MED-850

Title: Digestive Disease

Instructor: Peter B. Cotton, MD, MRCP

Location: Medical University of South Carolina 

Charleston, SC

Number of students: 3 

Duration: 4 weeks 

Credit hours: 5

Course offered: Year Round

Description:

The course is an introduction to management of complex digestive diseases and the clinical research and evaluation techniques used to improve it. This student will be exposed to different aspects of digestive disease, including luminal gastroenterology, pancreatic and biliary diseases, hepatology, motility disorders, nutrition and cancer. There will be emphasis on new diagnostic and therapeutic procedures (including Radiology, Minimally Invasive Surgery, and Advanced Endoscopy). Students will participate in all of the academic activities of the Digestive Disease Center including the Division of Gastroenterology and Hepatology in the Department of Medicine. Involvement in ongoing research projects is encouraged, to improve knowledge of research techniques and informatics tools. There is no call. 

Course Objectives:

Obtain an overview of modern management of a variety of digestive diseases in a tertiary referral environment, utilizing state of the art techniques, and methods of evaluation. 

Instructional Methodology:

Attendance at numerous daily conferences within the Digestive Disease Center, clinics and procedures. Under the direction of the primary instructor, students will be allocated one or more other faculty mentors for specific research and training opportunities, as appropriate. Evaluations will be based on feedback from the relevant faculty at the conclusion of the elective. More details about the Digestive Disease Center, its staff and activities can be reviewed through our web site (www.ddc.musc.edu).

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Course #: MED-851

 Title: Clinical Topics in Nephrology

 Instructor: David Ploth, M.D.

 Location: Medical University of South Carolina

Charleston, SC

 Number of students: 6

 Duration: 4 weeks

 Credit hours: 5

Course offered: Year Round

Description

The student will participate directly in patient care topics in nephrology and hypertension in a supervised teaching environment of dedicated faculty, fellows and house staff.

Course objectives

• Diagnosis and treatment of renal failure, both acute and chronic
• Diagnosis and treatment of hypertension
• Diagnosis and treatment of fluid and electrolyte disorders
• Diagnosis and treatment of acid-base disorders

Instructional methodology (approximate # of hours per week)

• Lectures - 9
• Rounds/Discussions - 5 
• Patient Contact - 24 
• Lab - optional 
• Patient Load - 4-6 plus outpatient clinics 2/weeks

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Course #: MED-855

 Title: Clinical Cardiology

 Instructor: George Taylor, M.D.

Location: Medical University of South Carolina

Charleston, SC

 Number of students: 4

 Duration: 4 weeks

 Credit hours: 5

 Course offered: Year Round

Description

This elective is designed to expose students to consultive adult cardiology both inpatient and outpatient.

Course Objectives

• Understand cardiac pathophysiology
• Become expert in cardiac exam 
• EKG interpretation 
• Management of cardiac disease 

Instructional Methodology (approximate # of hours per week)

• Lectures - 5
• Rounds/Discussions - 10 
• Patient Contact - 10 
• Lab - EKG Station 
• Patient Load - 2-4 

Course #: MED-858

 Title: Clinical Gastroenterology

 Instructor: Frederick Wilson, M.D.

 Location: Medical University of South Carolina

Charleston, SC

 Number of students: 4

 Duration: 4 weeks

 Credit hours: 5

 Course offered: Year Round

Description

This course in adult gastroenterology provides students with sufficient exposure and knowledge so that they may be better prepared to deal with patients suffering from disorders of the gastrointestinal tract, biliary tract, pancreas and liver.

Course Objectives

• Allow students to develop new skills and extend previously developed skills in gastroenterology 
• Provide more patient contact and responsibility in administering medical care to patients with diseases involving the digestive system

Instructional Methodology

• Weekly conferences 
• Exposure to diagnostic and therapeutic procedures 
• Participation in outpatient clinic 

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Course #: MED-859

Title: Hematology/Oncology

Instructor: Larry Afrin, M.D.

Location: Medical University of South Carolina

Charleston, SC

Number of students: 4

Duration: 4 weeks

Credit hours: 5

Course offered: Year Round

Description

This elective provides a broad and integrated exposure to the clinical presentation, diagnosis, and state-of-the-art management of patients with a variety of solid-organ tumors, hematologic malignancies, and other hematologic disorders including anemias and hereditary and acquired bleeding and clotting disorders. This is accomplished by assignment to the Consultation Service, participation in rounds on the inpatient Oncology-Hematology Bone Marrow Transplant Unit, attendance at the outpatient clinics, and formal training with the instructor in the interpretation of peripheral blood smears and bone marrow aspirates. 

Course Objectives

Clinical presentation, diagnosis, and state-of-the-art management of patients with a variety of cancers, hematologic malignancies and other hematologic disorders including anemias, hereditary an acquired bleeding and thrombotic disorders. Instructional Methodology

• Participation in formal conferences of the Hematology/Oncology Division, including the Friday Seminar Series, Chief-of-Service rounds, Consultation Service conference, tumor boards and Journal Club. 
• Case-by-case discussion on rounds and in outpatient clinics
• Microscopic morphology interpretation sessions with the instructors 
• Patient Load - 3-4 
• Call -  None

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Course #: MED-861

Title: Infectious Diseases Consultation

 Instructor: J. Robert Cantey, M.D.

Location: Medical University of South Carolina

Charleston, SC

 Number of students: 2

 Duration: 4 weeks

 Credit hours: 5

Course offered: Year Round

Description

This elective consists of consultation rounds with the infectious disease attending, fellow and medical resident at MUH providing extensive exposure to the diagnosis and treatment of infectious diseases precipitating hospital admission or occurring during hospitalization for non-infectious problems. The student will work up inpatients for presentation to the infectious diseases attending. The progress of inpatients will be monitored closely. Clinical experience is supplemented and extended by case conferences, Journal Club and a didactic lecture series. The didactic series is an 8 lecture series repeated each month by all faculty and fellows and provides an introduction to the practice of infectious diseases.

HIV infection is not a part of this course. Please discuss with course director for possible opportunities to be involved in HIV care.

Course objectives

• Diagnosis and assess common community and hospital acquired infections
• Learn basic aspects of antimicrobial treatment of proven and suspected infectious diseases
• Learn the rational use of anti-infective therapeutic agents

Instructional methodology (approximate # of hours per week)

• Didactic lecture Lectures - 2
• Journal Club - 2 hours per month
• Weekly Case Conference - 1
• Rounds/Discussions - 15-20
• Patient Contact - 15-20
• Lab - none
• Patient Load -5
• Call - none

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Course #: MED-862 

Title: Endocrinology - Diabetes and Metabolism

Description

This course provides student participation in the activities of the division: inpatient consultations, several outpatient clinics (Endocrinology, Diabetes Mellitus, Thyroid – private consultations), investigation of patients with endocrine/metabolic problems, weekly case conferences, noon house staff conferences, weekly conferences with the division (a topic oriented conference) and Journal Club. Direct contact with attendings is employed in all clinical settings.

Course objectives

• Learn pathophysiology of common endocrine disorders
• Learn to evaluate endocrine disorders commonly seen in primary care
• Learn treatment strategies for these diseases
• Learn the importance of laboratory investigation in evaluations
• Introduction to endocrine research by faculty investigators
• Learn to critically assess medical literature

Instructional methodology

• Lectures
• Rounds/Discussions
• Patient Contact
• Patient Load - 4-6/clinic and 2-3 consult
• Call - none

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Course #: MED-864

Description

The student assumes the role of a PGY-l house officer. The student is expected to discharge the responsibilities appropriate for that position, including performance of the history and physical examination, providing clinical care and documentation of patients. The student works closely with a supervising medicine resident and attending physician. The student participates in the scheduled conferences offered by the Department of Medicine.

Course objectives

• To perform as a member of a ward team
• To develop skills appropriate for post-graduate training
• To work directly as a sub-intern with resident and attending physician
• To develop decision making skills particularly as it applies to diagnostic testing and therapy

Instructional methodology

• Lectures
• Rounds/Discussions
• Patient Contact
• Lab
• Patient Load - 3-5
• Call - Every 5th night

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Course#: MED-865

Title: PulmonaryMedicine

 Instructor: Patrick Flume, M.D.

 Location: Medical University of South Carolina

Veterans Administration Hospital

Charleston, SC

 Number of students: 2

 Duration: 4 weeks

 Credit hours: 5

 Course offered: Year Round

Description

This course allows students to review and apply principles of respiratory pathophysiology to disease states, introduces them to a variety of clinical forms of pulmonary disease and instructs them in the principles of respiratory care.

Course Objectives

• Learn principles of respiratory physiology
• Learn how to interpret pulmonary function tests
• Evaluate patients with a variety of respiratory diseases
• Learn appropriate indications for bronchoscopy

Instructional methodology (approximate # hours per week)

• Lectures - 2
• Rounds/Discussion - 10
• Patient Contact - 20
• Lab - 1
• Patient Load - 3
• Call - none

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Course #: MED-868

 Title: Rheumatology and Immunology

Instructor: Alan Brown, M.D.

Location: Medical University of South Carolina

Charleston, SC

 Number of students: 2 (additional students accepted on a case-by -case basis)

 Duration: 4 weeks

 Credit hours: 5

 Course offered: Year round

Description

This elective emphasizes the evaluation and management of outpatients with common musculoskeletal diseases.  The majority of the time is spent in private and public ambulatory clinics of the division.  Limited exposure to complicated inpatient consultations is available.  Students will have intense one-on-one contact with faculty in the evaluation of ambulatory patients.

Course objectives

• Evaluation of patients with joint pain
• Musculoskeletal examination
• Use of a diagnostic evaluation of patients with suspected autoimmune disease
• Learn commonly utilized therapies in the treatment of the patient with a broad range of musculoskeletal diseases

Instructional methodology (approximate # of hours per week)

• Conferences - 4
• Rounds/Discussions  - none
• Patient Contact - 30
• Lab - none
• Patient Load - none
• Call - none 

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Course #: MED-871

 Title: Congestive Heart Failure / Heart Transplantation

Instructor: Naveen Pereira, M.D.

 Location: Medical University of South Carolina

Charleston, SC

 Number of students:  Minimum 1     Maximum 4

 Duration: 2/4 weeks

 Credit hours: 2.5/5

 Course offered: Fall, Spring

Description

Exposure to the full spectrum of diagnosis and treatment of congestive heart failure.

Course objectives

• Understand pathophysiology, recognize clinical features of congestive heart failure
• Pharmacological and device therapy of congestive heart failure
• Arrhythmia recognition and therapy in congestive heart failure
• Evaluation for heart transplant including post transplant care

Instructional methodology (approximate # of hours per week)

• Lectures - 3
• Rounds/Discussions  - 10
• Patient Contact - 25
• Lab - none
• Patient Load -4-6
• Call - 1 as needed only for Heart Transplant

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Course #: MED-891

Title: Hospital Medicine: Consults & Community

Instructor: Patrick J. Cawley, M.D.

Location: Medical University of South Carolina

Charleston, SC

 Number of students:  Minimum 1     Maximum 2

 Duration: 2/4 weeks

 Credit hours: 2.5/5

Course offered: Year Round

Description

The 4 week course is 2 weeks on the hospitalist consult service at MUSC and 2 weeks on the community hospitalist service at East Cooper Hospital in Mount Pleasant. The 2 week course is either.

At both sites, the student is expected to independently evaluate patients, follow them daily, and present findings/plan to the hospitalist attending. The consult team at MUSC consists of an attending hospitalist and a medical resident. At East Cooper, the student works solely with an attending hospitalist.

Course objectives

Learn risk assessment and risk reduction strategies in patients with medical problems undergoing surgery

• Demonstrate fundamentals of perioperative cardiovascular, pulmonary, and diabetes management
• Demonstrate basics of perioperative venous thromboemolism prophylaxis, anticoagulation management, and antibiotic prophylaxis management
• Understanding how a community hospitalist program differs from an academic hospitalist program

Instructional methodology (approximate # of hours per week)

• Lectures - none
• Rounds/Discussions  - 40
• Patient Load - 4-6
• Call - none